Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
50 Cards in this Set
- Front
- Back
|
Klumpke Palsy |
C7, T1 Claw Hand Horner syndrome |
|
|
Lipid Screen When? (+)? Inc risk? |
non fast: 9-11yo, 17-21yo If +, then fasting panel x2 -HDL<40, LDL>130, TG>130 Inc Risk - FMH early cardiac event, DM, HTN, BM>85%, tobacco |
|
|
Port wine - trigeminal distribution Cap/venous malformation DD Sz Hemiplegia Vision issue/calcification Glaucoma |
Sturge Weber |
|
|
Egg heart on CXR Single S2 Pulm venous congestion |
TGA |
|
|
Wilson's Dz |
Copper disposition Jaundice Large Liver Low Ceruplasmin |
|
|
Storage Vit D |
25-hydroxy Vit-D check this in deficiency |
|
|
what is Amblyopia? Causes? |
vision loss -not secondary to occular pathology -glasses won't help -Causes: strabismus, cataracts, corneal opacities |
|
|
Short PR intervals Delta wave |
WPW no digoxin - risk of afib |
|
|
sepsis eczema inc lung infect diarrhea FTT no thymus on xray low WBC - opportunistic infect |
SCID xlinked no live vaccine |
|
|
Kwashiorkor vs Marasmus |
-protein deficiency: big belly, edema, thin hair -Marasmus: general nutrition deficiency, normal hair |
|
|
Dose of Charcoal |
0.5-1 g/kg, Max 25-100g |
|
|
Sx of lead toxicity? labs? |
HA, irritable, constipation, lethargy Microcytic Anemia |
|
|
Inc AFP? Dec AFP? |
dec AFP: T21, T18 inc AFP: R- enal (PKD, Agenesis) A- bd wall defects I- ncorrect dates, multi-pregnancy N- euro (ancephaly, spinabifida) |
|
|
NST? Contract ST? Biophysical Profile? |
- measure spont fetal movement, fetal autonomic CNS integrity - response to chronic contraction, uteroplacental insuf and tolerance to labor -NST, vol amniotic fluid, HR, Movement, Breathing |
|
|
Response to surfactant? |
dec inspiratory pressure, Oxy require inc lung compliance |
|
|
Vit K - change in coag profile? |
inc PT |
|
|
Thin scales w/ pasted on appearance -fish scale -entire body Dz? Tx? |
Ichthyosis Vulgaris tx: urea containing emolients, keratolytics |
|
|
When to see a Dentist? |
6mo Post 1st tooth or 12mo or High Risk - deca, FMH, DD, night time feedings |
|
|
tooth paste varnish |
-Flouride varnish q3-6mo -flouride toothpaste for all |
|
|
Iron supplementation |
1mg/kg in BF infant 2mg/kg in preterm BF infant |
|
|
Normal C3 |
FSGS IgA (HSP) HUS |
|
|
Cri-du-Chat dysmorphic face microcephaly hyperteloric epicanthal folds what chromo defect |
5p15 deletion |
|
|
essential fatty acid |
lenoleic acid |
|
|
how much protein/day premature? FT? |
3.5g/kg/day 2 g/kg/day |
|
|
ptosis, weakness worse w/ activity anti ACH ab Cause? Dx? Tx? |
- penicillamine, thymoma, NMJ dz -Dx: tensilon test - edrophonium, EMG -Tx: pyredostigmine, plasmapherisis, no steroids |
|
|
Cynotic immediately @birth 3? |
TGA Pulm Atresia Ebstein anomaly no improve w/O2 |
|
|
Conductive hearing loss Small jaw, Ear abn, facial abn Notch in lower eyelid N - IQ Dz? inh? |
Treacher collins AD 50% risk of passing on to sibling |
|
|
Vit E (tocopherol) |
Def: Edema, Elevated platelet, Hemolytic anemia, neuro damage, weakness |
|
|
Vit A (retinol) |
Def: night blindness, dry eyes Tox: pseudotumor (isotretinoin) |
|
|
Ascending motor paralysis No DTR Dysautonomia Prox muscle weakenss Cause? |
Guillan Barre Campylobacter jejuni, viral illness Dx: Inc CSF protein, resp fail Plasmapharesis, IVIG, no steroids |
|
|
Prader Willi vs Angelman |
15q11 - Pat Imprinting (loss of pat genes), hypotonia, FTT infant, obese child, short, bitemporal narrow - Mat Imprinting (loss of mat genes), happy puppet, Sz, blond/blue, low IQ, wide space teeth |
|
|
FTT, polyuria, constipation Metabolic Acidosis Inc Cl, normal anion gap |
RTA -Type 1 distal : inc Cl, urine pH...dec K. Renal stones -Type 2 proximal : urine pH <5.5, normal K -Type 3 distal : resistance to aldost, inc K |
|
|
Iron Ingestion phases? Tx? |
Toxic >40mg/kg Phase 1 - 6hr - vom, diarrhea, abd pain Phase 2 - improve, 6-24hr Phase 3 - Metab acidosis, coagulopathy, cardio collapse Phase 4 - GI obst, scarring stricture, inc anion gap Tx: defuroxamine |
|
|
Carbon Monoxide
|
Fatigue, HA, Dizzy, N/V, SOB, weakness, confusion Smoke around face carboxyhemaglobin level High flow Oxygen! |
|
|
Sensorineural Hearing Loss meds? Infections? |
lasix, gentamycin, tobramycin, salicilates (reversible) CMV, MMR, Varicella |
|
|
Poor growth - short, IUGR Limb abn Facial Features: unibrow, long eyelash, microcephaly Low IQ |
Cornelia De Lange |
|
|
Cholinergic Effects
Tx |
Organophosphates Salivation Diarrhea Lacrimation Urination Urination Miosis Diarrhea Bronchospasm/Bradycardia GI dist Emesis Emesis Lacrimation Salvation Nicotinic Effects: neuromuscular weakness, paralysis, muscle fasiculations Tx: pralidoxime, atropine |
|
|
Defect in cervical vertebrae Fusion or defect in formation Short neck, low hairline |
klippel-feil anomaly |
|
|
rule of 2 for Meckel's |
~2yo 2 tissue (Gastric, intestinal) 2 ft from ileocecal valve 2 in length 2 % population |
|
|
MR, +/- autistic Large Ears Tall Macro-orchidism in teens Dz? Inher? problem? |
Fragile X Synd Xlinked CGG repeat on FMR1 gene |
|
|
Type III Hypersensitivity |
Immune Complex (Ab-Ag) vasculitis, serum sickness, autoimmune dz, SLE, Hashimoto, RA, pernicious anemia 1 + 2 = 3 / Complex |
|
|
Fever, muscle ache, joint ache mucus memb involve - eye, oral, anogenital no seperation of skin dz? causes? |
SJS sulfa, anticonvulsants, NSAIDs |
|
|
Ethylene Glycol Tox Sx Stages |
Antifreeze Drunk, no odor, large anion gap Phase 1: N/V, tachy, HTN, metab acidosis, Ca oxylate crystals, low Ca Phase 2: coma, cardio/resp fail Phase 3: renal fail (1-3 days) |
|
|
Gram (-) pleomorphic orgo tx? |
H.influ (typeable) B - encapsulated orgo Tx: ctx, cefotax non-type H.inf - OM, PNA not protected by vaccine |
|
|
Encapusulated Orgo |
S. pneumonia N. meningitides H. influ |
|
|
Low BCells + TCells + Ig Recurrent infections from resp/GI Diarrhea, malabsorption Inc Lymphoma risk tx: ivig |
Common Variable Immune Deficiency |
|
|
E - osinophilia E - czema IgE
Inc fractures - skeletal abn
|
Hyper IgE Job syndrome |
|
|
Small ht/wt N - HC Cafe-au-lait Hemihypertrophy |
Russell - Silver Synd |
|
|
Head Circumference |
newborn 35cm 1cm/mo first 6mo 1/2 cm/mo 6-12mo |
|
|
Length |
50cm inc by 50% by 1yo double by 4yo triple by 12yo |
